IndividualActive
Amiaya Fortenberry, LPN
NPI 1316719305 · Licensed Practical Nurse · Tulsa, OK
Provider details
- NPI number
- 1316719305
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 207739 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
5550 S Garnett Rd Ste 200
Tulsa, OK 74146-6830
Phone: (918) 665-2501
Approximate (ZIP-level) locationGet directions
Mailing address
5550 S Garnett Rd Ste 200
Tulsa, OK 74146-6830
Registry dates
- Enumerated
- 2023-10-24
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.